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Published in: Journal of Medical Case Reports 1/2007

Open Access 01-12-2007 | Case report

Hypernatremic dehydration, diabetes insipidus, and cerebral venous sinus thrombosis in a neonate: a case report

Authors: Laurene M Fleischer, Thomas A Wilson, Margaret M Parker

Published in: Journal of Medical Case Reports | Issue 1/2007

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Excerpt

In breast-fed neonates, hypernatremia may occur from inadequate breast milk production, central or nephrogenic diabetes insipidus, gastroenteritis, or salt poisoning. Hypernatremic dehydration is a known risk factor for cerebral sinus thrombosis and death. We report a breastfed neonate with hypernatremic dehydration, diabetes insipidus, cerebral sinus thrombosis, and disseminated intravascular coagulation. We discuss the difficulties in determining cause and effect, as well as emphasize the importance of early evaluation of excessive weight loss in the neonate. …
Literature
1.
go back to reference Manganaro R, Mami C, Marrone T, Marseglia L, Gemelli M: Incidence of dehydration and hypernatremia in exclusively breast-fed infants. J Pediatrics. 2001, 139 (5): 673-675. 10.1067/mpd.2001.118880.CrossRef Manganaro R, Mami C, Marrone T, Marseglia L, Gemelli M: Incidence of dehydration and hypernatremia in exclusively breast-fed infants. J Pediatrics. 2001, 139 (5): 673-675. 10.1067/mpd.2001.118880.CrossRef
2.
go back to reference van Amerongen R, Moretta AD, Gaeta TJ: Severe hypernatremic dehydration and death in a breast-fed infant. Pediatric Emergency Care. 2001, 17 (3): 175-180. 10.1097/00006565-200106000-00006.CrossRefPubMed van Amerongen R, Moretta AD, Gaeta TJ: Severe hypernatremic dehydration and death in a breast-fed infant. Pediatric Emergency Care. 2001, 17 (3): 175-180. 10.1097/00006565-200106000-00006.CrossRefPubMed
3.
go back to reference Wang LC, Cohen ME, Duffner PK: Etiologies of central diabetes insipidus in children. Pediatr Neurol. 1994, 11: 273-277. 10.1016/0887-8994(94)90001-9.CrossRefPubMed Wang LC, Cohen ME, Duffner PK: Etiologies of central diabetes insipidus in children. Pediatr Neurol. 1994, 11: 273-277. 10.1016/0887-8994(94)90001-9.CrossRefPubMed
4.
go back to reference Smith BK, Friden JS: Neurogenic diabetes insipidus in an initially healthy neonate. Western J Med. 1989, 151 (4): 460-461. Smith BK, Friden JS: Neurogenic diabetes insipidus in an initially healthy neonate. Western J Med. 1989, 151 (4): 460-461.
6.
go back to reference Gebara BM, Everett KO: Dural sinus thrombosis complicating hypernatremic dehydration in a breastfed neonate. Clinical Pediatrics. 2001, 40 (1): 45-10.1177/000992280104000106.CrossRefPubMed Gebara BM, Everett KO: Dural sinus thrombosis complicating hypernatremic dehydration in a breastfed neonate. Clinical Pediatrics. 2001, 40 (1): 45-10.1177/000992280104000106.CrossRefPubMed
8.
go back to reference Brown DR, Alward CT: Neurogenic DI in newborn infants associated with CNS abnormalities. Ped Res. 1978, 12: 410-10.1203/00006450-197804001-00287.CrossRef Brown DR, Alward CT: Neurogenic DI in newborn infants associated with CNS abnormalities. Ped Res. 1978, 12: 410-10.1203/00006450-197804001-00287.CrossRef
9.
go back to reference DeVeber G, Andrew M, Adams C, Bjornson B, Booth F, Buckley D, Camfield C, David M, Humphreys P, Langevin P, MacDonald E, Meaney B, Shevell M, Sinclair D, Yager J, Gillett J: Cerebral sinovenous thrombosis in children. NEJM. 2001, 345 (6): 417-423. 10.1056/NEJM200108093450604.CrossRefPubMed DeVeber G, Andrew M, Adams C, Bjornson B, Booth F, Buckley D, Camfield C, David M, Humphreys P, Langevin P, MacDonald E, Meaney B, Shevell M, Sinclair D, Yager J, Gillett J: Cerebral sinovenous thrombosis in children. NEJM. 2001, 345 (6): 417-423. 10.1056/NEJM200108093450604.CrossRefPubMed
10.
go back to reference Wu YW, Miller SP, Chin K, Collins AE, Lomeli SC, Chuang NA, Barkovich AJ, Ferriero DM: Multiple risk factors in neonatal sinovenous thrombosis. Neurology. 2002, 59: 438-440.CrossRefPubMed Wu YW, Miller SP, Chin K, Collins AE, Lomeli SC, Chuang NA, Barkovich AJ, Ferriero DM: Multiple risk factors in neonatal sinovenous thrombosis. Neurology. 2002, 59: 438-440.CrossRefPubMed
Metadata
Title
Hypernatremic dehydration, diabetes insipidus, and cerebral venous sinus thrombosis in a neonate: a case report
Authors
Laurene M Fleischer
Thomas A Wilson
Margaret M Parker
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2007
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-1-66

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